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Cognitive Exam
 
 

Assessing Sedation

 
 
 
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Richmond Agitation-Sedation Scale

  • A scale used to assess level of sedation, mainly in ICU patients.
    • Interpretation

    • Combative: violent, immediate danger to staff
    • Very agitated: pulling or removing tubes; aggressive
    • Agitated: Frequent non-purposeful movements; fights ventilator
    • Restless: anxious without aggressive or vigorous movement
    • Alert and calm
    • Drowsy: Not alert, but sustained eye contact to voice (>10 seconds)
    • Light sedation: briefly awakens with eye contact to voice (<10 seconds)
    • Moderate sedation: movement or eye opening to voice with no eye contact
    • Deep sedation: no response to voice, movement or eye opening to physical stimulation
    • Unrousable: no response to voice or physical stimulation
 
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